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General NPI Number Information
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NPI Number | 1689568347
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Entity Type | Organization
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Legal Business Name | EVOLVE ABA CARE
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 500 N COMMERCIAL ST STE 502
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City | MANCHESTER
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State | NH
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Zip | 03101-1151
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Country | US
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Telephone | 347-786-1504
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SKILLMAN ST STE 416
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City | BROOKLYN
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State | NY
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Zip | 11205-1550
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Country | US
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Telephone | 347-786-1504
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. LAZER BERGER
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Credential |
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Telephone | 347-786-1504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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